• 한국치위생학회지
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• 제16권1호
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• pp.137-145
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• 2016

Objectives: The purpose of the study is to investigate the opinion of dental hygienists toward school dental clinic operation. Methods: The study was carried out by telephone or e-mail to the dental hygienists in 415 elementary school dental clinics from September 1 to 30, 2014. The questionnaires were collected from 208 school dental clinics. Except incomplete answers, 148 data were analyzed using SPSS 18.0 program. The self-reported questionnaire consisted of general characteristics of the subjects(7 items), operation of school dental clinic(5 items), obstacle to school dental clinic(10 items), and effective operation of school dental clinic(5 items). Results: The school dental clinic operation accounted for 68.7% and 90.6% of the respondents answered that it was very effective for the oral health improvement. The dental hygienists answered that the clinic operation was very effective in oral disease prevention(37.1%), oral health knowledge and behavior(32.8%), oral health behavior habit(29.3%), and oral health improvement(0.9%). The change of the current operation into full time employee accounted for 79.7% and only 16.1% agreed to current operation of clinic visit by the community health center. The results showed that need for dentist was 3.69 by Likert 5 point scale. Conclusions: The oral health policy must be established to develop and implement the oral health programs for the school clinics.

• 한국치위생학회지
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• 제11권6호
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• pp.973-983
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• 2011

Objectives : The oral care during early childhood plays an important role to maintain sound oral health during adulthood. As the number of children's using child care facilities is on the rise recently, the children's oral health awareness and behavior of the educators at nurseries and kindergartens are to be examined. Methods : A self-recording survey was conducted on 194 educators at the nurseries and kindergartens in Chungnam region. Results : The most frequently given snack was milk, 91.8 percent of the facilities had children brush their teeth, 63.4 percent made them apply fluoride and 56.2 percent kept children's toothbrushes in an ultraviolet rays sterilizer. There was a meaningful difference in the awareness of the necessity to educate children about oral health according to the offer of the opportunity to apply fluoride (p<0.05). A meaningful difference was found in the recognition of the necessity to educate children according to their grade (p<0.05) and to train teachers themselves (p<0.05). The most desirable persons in charge of oral health education were dentists in health centers (46.9%) in order. The more experience in teaching they have had (p<0.05), when they're married (50.5%) (p<0.05) and when they're not homeroom teachers (52.6 percent), the more regular checkups they have had (p<0.05). As for the importance of oral health and the results of regular checkups, those who had answered 'very important'(42.4%) showed higher rate of regular checkup (p<0.05) than those who had answered 'important'(23.9%). When teachers have the experience to get trained about oral care (96.3%), the practice frequency of brushing teeth was proved to become higher (p<0.05). Conclusions : The educators for children should recognize the importance of oral health education, educate children to practice oral health care, and the environment and systematic foundation should be established which the educators manage effectively.

• 대한감각통합치료학회지
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• 제17권3호
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• pp.1-13
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• 2019

목적 : 본 연구는 능동적 구강놀이 병행한 Ayres Sensory Integration^®(ASI^®) 적용이 아동의 구강 민감도와 섭식행동의 문제에 미치는 영향에 대해 알아보고자 하였다. 연구방법 : 발달지연으로 진단받은 만 3세 6개월의 남자 아동을 대상으로 2018년 8월부터 2018년 9월까지 능동적 구강놀이 병행한 Ayres Sensory Integration^®(ASI^®)를 실시하였다. 실험설계는 단일사례연구(single-subject design) 중 ABA'설계를 사용하였고 15회기의 중재를 시행하였다. 중재기간 동안 아동의 구강민감도 변화를 측정하기 위해 임상 구강민감도 측정(Measuring Oral Sensitivity in Practice)을 실시하였다. 구강감각처리 어려움으로 섭식활동에 영향을 주는 행동은 한국형 섭취 행동 검사(Korean Children's Eating Behavior Inventory; K-CEBI), 식품 섭취 빈도 체크리스트를 중재 전후로 실시하였다. 결과 : 능동적 구강놀이와 ASI 중재기간 동안 임상 구강민감도와 섭취행동의 문제는 감소하였고 편식행동에는 변화가 없었다. 결론 : 능동적 구강놀이 병행한 ASI 중재는 아동의 구강민감도와 섭취행동의 문제를 감소하는데 긍정적인 효과가 있었다.

• 한국치위생학회지
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• 제9권4호
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• pp.864-873
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• 2009

Objectives : This study was to collect data about oral health to develop preschool children' oral health program. Methods : This research was from July 20th to August 20th, 2008 with self-administrated questionnaires by post and e-mail. The response rate was 57.6%(144 of 250). Results : 1. Daycare center provided fruit(64.6%), bread(56.9%), milk(82.6%), yoghurt(47.9%). daycare center tend to provide cariogenic snacks and drinks such as bread, yoghurt. 2. 73.6% of teachers said they reward children with sweets for good behavior. 3. Activities related to oral health was done in daycare center were : children brush their teeth with fluoride toothpaste(79.9%), catering staff receive the education about nutrition(79.2%), children participate in the activities and training related to food(78.5%), using sugary food at a birthday party(77.3%), annual dental health check-up by a dentist(65.3%). 4. The percentages of guiding principles based on documentation in the topic of the oral health were : coping with a situation where a child injured his or her teeth(76.4%), annual dental health checkup by a dentist(72.2%), teachers supervise children's tooth brushing using a fluoride toothpaste(70.8%). 5. Documented guide or course for oral health includes the following; training for coping with tooth damage(76.4%), annual dental health check-up(72.2%), and coaching children to brush their teeth with toothpaste that contains fluoride(70.8%). Conclusions : It is believed that for better children's oral healthcare, childcare teacher should be given a range of in-depth oral health program. Furthermore, through detailed analysis on the documented guide of oral health, cooperation from the associated organization will be required to have the guide placed at the childcare center.

• 치위생과학회지
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• 제16권1호
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• pp.26-36
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• 2016

이번 연구는 어머니의 구강건강정보이해력이 유아 자녀의 구강건강상태 및 행동에 어떠한 영향을 미치는지 파악하여 모자 구강건강 증진에 기여하고자 편의표본추출법에 의해 선정된 경기도 평택시 소재 유치원 및 어린이집 8곳에 다니는 만 5, 6세 아동과 어머니 233명을 대상으로 조사연구를 시행하여 다음과 같은 주요 결과를 얻었다. 어머니의 구강건강정보이해력, 구강건강관리행동, 유아의 구강보건지식 태도 행동을 상 하위 25% 집단으로 나누어 구강건강정보이해력에 따른 유아자녀의 구강건강상태 차이를 비교한 결과, 어머니의 구강건강정보이해력은 우식유치수(dt), 우식유치수 및 충전유치수(dft)와 모두 유의한 차이를 보였고 상위집단일 경우 dt, dft가 더 적게 나타났다. 구강건강관리행동과 유아의 구강보건지식 태도 행동에 따른 유아의 구강건강상태는 dt에서만 통계적으로 유의한 차이를 보였고, 상위 집단일 경우 dt가 적게 나타났다. 구강건강정보이해력은 유아 자녀의 dt, dft와 부의 상관관계가 있었다. 또한, 유아의 구강보건지식 태도 행동, 구강건강관리행동과는 양의 상관관계를 보였다. 어머니의 구강건강정보이해력이 유아 자녀의 구강보건 지식 태도 행동에 미치는 영향을 알아보기 위한 위계적 다중 회귀분석 결과, 어머니의 구강건강관리행동이 가장 큰 영향을 미쳤고, 이어 언어적 구강건강정보이해력, 유아 성별, 어머니 연령, 그리고 자녀수 순으로 영향을 미치는 것으로 나타났다. 어머니의 구강건강정보이해력이 유아 자녀의 구강건강 상태에 미치는 영향을 알아보기 위해 일반적 특성, 구강건강관리행동, 유아의 구강보건지식 태도 행동을 통제한 상태로 다중 회귀분석을 시행한 결과, 언어적 구강건강정보이해력이 dt에 가장 큰 영향을 미쳤고, 기능적 구강건강정보이해력은 영향력이 없었다. 그러나 dft에는 다른 변수들을 통제하였을 때 두 개의 구강건강정보이해력 모두 독립적으로 가장 큰 영향력을 미치는 것으로 나타났다. 이상의 결과를 종합할 때, 유아 자녀의 구강건강증진을 위하여 어머니의 구강건강정보이해력을 항상 고려해야 하며, 이를 반영한 구강보건교육이 시행되어야 할 것이다.

• 한국치위생학회지
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• 제13권1호
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• pp.129-135
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• 2013

Objectives : The purpose of this study was to attempt to lay the foundation for the development of oral health programs geared toward promoting the oral health of low socioeconomic class children. Methods : The subjects of this study have been investigated for the use of children to 96 local children's center. Questionnaire for research purposes are described in more detail under the coordination of child care teachers to students, students to be able to record. The survey was conducted at the Health center. Analyzed the data collected by SPSS 18.0. Results : The findings of the study were as follows: The children were influenced by habits of having a snack in dental caries experience. Higher intake of bread and a lot of children more probability of dental caries experience. I've found a lot of sweet-food intake eleven cakes or fruits and vegetables that children prefer higher dental caries experience was low. Conclusions : Education on dietary behavior for low-income children was necessary because of the high correlation of the relationship between dietary habits and dental caries and diet.

• 한국치위생학회지
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• 제12권1호
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• pp.145-156
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• 2012

Objectives : By analyzing the affects of the mother's oral care to the caries experiences of the elementary school children, To looking for the way to prevent dental caries in the primary school, to provide baseline data to perform the associated oral health education. Methods : Between the 3,676 children's dental check-up data and the 2,934 survey of parents from 9 elementary schools in the the Gyeonggi Province, the exactly matching data of 2,358 pairs, children versus mothers, were analyzed during the period, 2009 May 4 to July 20, By using the PASW 18(SPSS-PC 18), Frequency analysis of the collected data, and cross-analysis, ANOVA, Bonferroni post-analysis was performed. Results : The findings of the study were as follows. 1. In children, the ratio(DMF rate)of the dental caries experience in permanent teeth, appeared higher for men than women. Divided by grade level, the ratio of caries experience in the permanent teeth(DMF rate) generally appear higher in older than young. Thus between the child's gender and grade level by the ratio of caries experience in the permanent teeth(DMF rate) showed the statistically significant differences (p<0.05). 2. Between the socioeconomic characteristics of mothers and the children's level of dental caries experiences, not showed the statistically significant difference.(p>0.05). 3. The significant difference showed between the dental caries levels of the children and the mother's oral health care behavior - a toothbrush replacement period, mother's broken teeth, mothers guidances of the brushing after snacks for children(p<0.05). Conclusions : The mother's oral health attitudes and behaviors can affect to their children's oral care habits. Therefore The mother themselves should have the right proper habit of oral health care, so that in oral health care mothers should be the model for their children. Institutionally more systematic and detailed oral health educational program in conjunction with the family is needed.

• Child Health Nursing Research
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• 제5권3호
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• pp.318-327
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• 1999

Oral medication is one of the most frequent treatment in clinical care. and frequently refused by children. Children's refusal spends unuseful time and require nurses'Patience. So this study was attempted to develop token economy Program which Promote children's medication. and to evaluate its' effect to construct the experimental ground. This study was a quasi experimental study under the nonequivalent control group non-synchronized design. The subjects of this study were 48 children who were aged 3-12 years and admitted pediatric ward because of their respiratory disease. Token economy program was consisted of cartoon record paper with stickers which expresses the better medication is taken the more germs die, and gift was given for back up reinforcer. To evaluate this Program. time spent for oral medication was measured six time to both experimental group and control group. and measured the perceived effectiveness of this program by nurses. To determine the effect of the program, the data were analyzed by the SAS 6.12 Program with t-test and mean, standard deviation. The results of this study were as follows: 1 In experimental group, time spent for oral medication was significantly shorter than in control group(t=5.24. p=0.0001). Therefore, the hypothesis of this study was strongly accepted. 2. Nurses perceived this program as an effective one(mean=3.125～3.792). The effectiveness occurred before. during and after medication as well as in parental responses, especially in using verbal dissatisfaction after medication. In conclusion. it was found that the token economy program for admitted children was effective in inducing the children's behavior of oral medication. There was no effectiveness in very highly anxious children Whereas, it is recommended that this program should not be used for such children until they settle down. If the token economy program was made in various situation with creative thinking, it will be very useful nursing measurement, especially in caring for children. To improve the qualify of nursing care, the various programs, which can give joyfulness to stressed patients should be developed.

• 대한간호학회지
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• 제42권7호
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• pp.1050-1061
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• 2012

Purpose: The purpose of this study was to identify the effects of mothers' involvement in a dental health program for their elementary school children. Methods: This study was a non-equivalent control group pre-post test design in which knowledge and behaviors related to dental health, perceived benefits and barriers, self-efficacy and plaque control scores were compared between the experimental group (n=26) for whom the dental health program included the direct involvement of the mothers, and the control group (n=24) for whom knowledge related to dental health was provided through brochures. Results: Scores for the experimental group in which the mothers were involved in the dental health program were significantly higher for knowledge, behaviors in dental health, self-efficacy and plaque control compared to the control group. Conclusion: Results of this study suggest that mothers involvement in the dental health program is effective in reinforcing dental health enhancing behavior in elementary school children.

• 치위생과학회지
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• 제12권6호
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• pp.572-582
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• 2012

지역아동센터 아동의 구강건강증진을 위해 개인의 행동 변화, 물리적 환경의 변화와 더불어 교사의 역할과 책임을 고찰하고자 지역아동센터 내에서 양치시설이 설치되어 있는 센터와 그렇지 않는 센터와의 구강건강증진에 대한 견해를 비교한 결과는 다음과 같다. 1. 일상적으로 교사가 칫솔질을 지도하는 센터의 아동들이 급식 후 칫솔질 실천율이 높았고, 간식 후 칫솔질 칫솔질 또는 물양치를 실천하는 비율이 높았다(p<0.05). 또한 이를 교사가 지도하는 빈도는 일상적으로 칫솔질을 지도하는 센터의 경우 '항상 또는 자주 지도'하는 비율이 높았고, 더불어 치약의 사용량과 칫솔관리 및 보관 등 구체적인 구강건강관리 내용을 지도비율이 높았으며, 이는 일상적으로 칫솔질을 지도하지 않는 센터와 통계적으로 유의한 차이가 있었다(p<0.001). 2. 불량한 칫솔을 교체하지 못하는 아동의 비율이 40.0% 이상인 지역아동센터가 전체의 24.4% 수준이었고, 그 사유로는 대부분 부모의 관심부족으로 나타났으며, 이는 칫솔질 지도여부 간에는 통계적으로 유의한 차이가 없었다(p>0.05). 3. 지역아동센터 교사의 구강건강관련 보건행동은 칫솔질 지도여부와는 상관없이 일 평균 간식은 1회 정도 제공하며, 간식의 종류는 우식성 식품과 비우식성 식품을 반반 정도 제공하고 있었다. 또한 아동의 착한 행동에 대한 보상으로 일상적 또는 때때로 단것을 제공하는 비율이 각각 47.0%, 52.3%로 나타났다(p>0.05). 4. 지역아동센터 교사의 칫솔질을 지도여부와 상관없이 대부분의 교사들의 구강보건지식 수순은 높았고, 본인들의 칫솔질 실천도 일 평균 3회 정도로 높았으며, 회전법으로 칫솔질을 실천하고 있었다(p>0.05). 5. 지역아동센터 아동의 구강건강증진을 위한 환경 개선에 대한 견해는 칫솔질 지도여부와 상관없이 지역아동센터 아동의 건강증진 주체를 아동복지교사로 생각하고 있었으며(73.4%), 칫솔질 및 손씻기 용의 세면대 개선(77.2%)을 요구하였고, 대부분의 보건 프로그램을 건강증진 프로그램으로 생각하고 있으며, 그 중 양치와 손씻기 등 개인위생에 관한 내용의 요구도(100.0%)가 높았다. 뿐만 아니라 치과검진과 치과치료 연계(100.0%) 등 직접적인 치과의료 서비스제공의 요구도도 높았다. 이상의 결과로 지역아동센터 아동의 구강건강을 증진시키기 위해서는 아동의 올바른 구강건강관리 행동을 지속적으로 유지하기 위한 교사들의 적극적인 참여와 지도가 매우 중요하며, 이를 위해서 지역사회 내에서 교사를 위한 교육프로그램 마련뿐 아니라 사회적 지원이 함께 이루어져야 할 것으로 사료된다.